Objectives: Extremity injuries in combat zones have devastating sequelae. The increasing
survival of war-zone casualties, combined with rapid advances in microsurgery, means that
there is a growing role for free-tissue reconstruction. We systematically reviewed the current
practices in microsurgical reconstruction of combat-related extremity injuries, focusing on
free-flap types, timing of surgery, and outcomes. Methods: We conducted a PubMed search
of the terms “War” and “Reconstruction,” identifying 21st century studies on …

In case of combat injury with bone exposure and poor local tissue, skin graft, dermal
substitute, and a pedicle flap may not be suitable and a free flap may be the best option.
Therefore we have two questions for the authors: After your systematic review of the current
practices in microsurgical reconstruction of combat-related extremity injuries, did you find
any reports addressing the use of dermal matrix as a complementary tool for free flap
pedicle coverage in lower limb reconstruction? Do you have a personal experience with the …